Organization Active NPI

Villarreal Medical Clinic PA

  • Specialist
  • McAllen, TX
National Provider Identifier
1104033174
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F0342 Issued in TX
Legal business name
VILLARREAL MEDICAL CLINIC PA
Practice address
1200 S 2ND St. Ste.A3
McAllen, TX 78501-2997
Phone
(956) 631-7117
Fax
(956) 631-7134
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Victor Romeo Villarreal, M.D.NPI 1629013974
Title
Doctor
Phone
(956) 631-7117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X F0342 TX Primary

Addresses

Primary practice location

1200 S 2ND St. Ste.A3
McAllen, TX 78501-2997

Mailing address

1200 S 2ND St. Ste.A3
McAllen, TX 78501-2997
Phone (956) 631-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606001223 TX Part B Supplier - Clinic/Group Practice 3870536311 Receives reassigned benefits from 2 practitioners
Practice locations: McAllen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0503168Villarreal Medical Clinic1200 South 2ND Street a-3, McAllen, TX 78501Certificate of waiverSep 5, 2027

National Provider Directory

National Provider Directory

Locations

1200 S 2nd St
#3
McAllen, TX 78501
Phone (956) 631-7117

1200 S Col Rowe Blvd
Ste A3
McAllen, TX 78501
Phone (512) 631-7117

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1104033174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 2ND ST. STE.A3",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012997",
            "telephone_number": "956-631-7117",
            "fax_number": "956-631-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 2ND ST. STE.A3",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012997",
            "telephone_number": "956-631-7117",
            "fax_number": "956-631-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLARREAL MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ROMEO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "956-631-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F0342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.